Individual
CONSTANTIN SICLOVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M. D.
Contact information
Practice address
14973 W BELL RD STE 100, SURPRISE, AZ 85374-3878
(623) 815-2900
(623) 583-1319
Mailing address
PO BOX 35380, LAS VEGAS, NV 89133-5380
(702) 954-7500
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
21719
AZ
Other
Enumeration date
08/08/2007
Last updated
06/21/2024
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